<p> STEP PEER EMPLOYMENT PROGRAM Volunteering Application </p><p>Personal Details</p><p>Surname:</p><p>First Name: </p><p>Address:</p><p>Postcode: </p><p>Home Telephone Number:</p><p>Mobile Telephone Number:</p><p>Skills and Experience</p><p>Please tell us about any experiences or skills that you can bring to the post of volunteering at The Marie Trust.</p><p>Please tell us why you have chosen to volunteer at The Marie Trust </p><p>If you were successful in gaining this opportunity, what would you have hoped to have achieved by the end of the placement? </p><p>1 This opportunities is targeting individual’s who are affected by homelessness, mental health issues, addiction or offending behaviour. Can you advise if you meet this criteria? </p><p>Volunteer Opportunities</p><p>Please circle your preference for volunteering in The Marie Trust.</p><p>Kitchen Assistant Role Days: Monday / Tuesday/Wednesday 9.00-3.00 Wednesday/Thursday/Friday 9.00-3.00 Thursday and Friday 9.00-3.00</p><p>Health and Support Needs</p><p>It helps us to know of any health conditions and/or support needs that you may have to ensure we provide for your needs appropriately. Please detail any health conditions, medication or support needs that are relevant for us to know. </p><p>Criminal Record</p><p>Please let us know if you have any criminal convictions, date of conviction, the offence and circumstances, or if you are in the process of being investigated. </p><p>2 Reference </p><p>Please provide the name of someone who can provide us with a reference on your behalf. We ask that this person is not a family member or friend.</p><p>Referee’s Name ……………………………………………………………………………………………………</p><p>Relationship to Applicant …………………………………………………………………………………………</p><p>Address ………………………………………………………………………………………………………………..</p><p>…………………………………………………………………………………………………………………… ………..</p><p>…………………………………………………………………………………………………………………… …………</p><p>Telephone Number …………………………………………………………………………………………………..</p><p>I agree to the above information being kept, securely and in confidence, within the requirements of the Data Protection Act 1998. I declare that, to the best of my knowledge, the information I have provided is accurate and correct. </p><p>Signed …………………………………………………………Date ……………………………… </p><p>Please complete this form and return to:</p><p>Skills Development, Training & Employability Project (S.T.E.P.) The Marie Trust, 32 Midland Street, Glasgow G1 4PR T: (0141) 221 0169</p><p>3</p>